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Latest & greatest articles for physical therapy
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[Benefit assessment of non-drug treatment strategies in patients with diabetes mellitus type 2: increase of physical activity - rapid report] Nutzenbewertung nichtmedikamentöser behandlungsstrategien bei patienten mit diabetes mellitus typ 2: steigerung der körperlichen aktivität [Benefit assessment of non-drug treatment strategies in patients with diabetes mellitus type 2: increase of physical activity - rapid report] Nutzenbewertung nichtmedikamentöser behandlungsstrategien bei patienten mit (...) diabetes mellitus typ 2: steigerung der körperlichen aktivität [Benefit assessment of non-drug treatment strategies in patients with diabetes mellitus type 2: increase of physical activity - rapid report] IQWiG Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation IQWiG. Nutzenbewertung nichtmedikamentöser behandlungsstrategien bei patienten mit
[Exercise therapy (Krankengymnastik Heilgymnastik) in physicalmedicine] Krankengymnastik/Heilgymnastik in der physikalischen Medizin [Exercise therapy (Krankengymnastik / Heilgymnastik) in physicalmedicine] Krankengymnastik/Heilgymnastik in der physikalischen Medizin [Exercise therapy (Krankengymnastik / Heilgymnastik) in physicalmedicine] Ludwig Boltzmann Institute for Health Technology Assessment Record Status This is a bibliographic record of a published health technology assessment from (...) a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Ludwig Boltzmann Institute for Health Technology Assessment. Krankengymnastik/Heilgymnastik in der physikalischen Medizin. [Exercise therapy (Krankengymnastik / Heilgymnastik) in physicalmedicine] Vienna: Ludwig Boltzmann Institut fuer Health Technology Assessment (LBIHTA). Rapid Systematischer Review. 2011 Final publication URL Additional data URL Indexing Status Subject indexing assigned
[Training therapy in physicalmedicine ? Systematic Review] Trainingstherapie in der physikalischen Medizin [Training therapy in physicalmedicine – Systematic Review] Trainingstherapie in der physikalischen Medizin [Training therapy in physicalmedicine – Systematic Review] Ludwig Boltzmann Institute for Health Technology Assessment Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment (...) has been made for the HTA database. Citation Ludwig Boltzmann Institute for Health Technology Assessment. Trainingstherapie in der physikalischen Medizin. [Training therapy in physicalmedicine – Systematic Review] Vienna: Ludwig Boltzmann Institut fuer Health Technology Assessment (LBIHTA). Decision Support Document 51. 2011 Final publication URL Additional data URL Indexing Status Subject indexing assigned by CRD MeSH Exercise Therapy; Humans; PhysicalTherapy Modalities Language Published
Cancer-related fatigue and rehabilitation: a randomized controlled multicenter trial comparing physical training combined with cognitive-behavioral therapy with physical training only and with no intervention Research suggests that cancer rehabilitation reduces fatigue in survivors of cancer. To date, it is unclear what type of rehabilitation is most beneficial.This randomized controlled trial compared the effect on cancer-related fatigue of physical training combined with cognitive behavioral (...) therapy with physical training alone and with no intervention.In this multicenter randomized controlled trial, 147 survivors of cancer were randomly assigned to a group that received physical training combined with cognitive-behavioral therapy (PT+CBT group, n=76) or to a group that received physical training alone (PT group, n=71). In addition, a nonintervention control group (WLC group) consisting of 62 survivors of cancer who were on the waiting lists of rehabilitation centers elsewhere
The effects of `on-call/out of hours` physicaltherapy in acute exacerbations of chronic obstructive pulmonary disease: a randomized controlled trial To assess the effectiveness of an on-call physicaltherapy programme in the management of acute exacerbations of chronic obstructive pulmonary diseases.Randomized controlled trial.Secondary care level, rural hospital.Thirty-eight patients with acute exacerbations of chronic obstructive pulmonary disease.Regular physicaltherapy and on-call (...) physicaltherapy was given to two groups of patients with 19 in each arm. On-call physicaltherapy included providing respiratory physicaltherapy as required by the patient out of business hours.Peak expiratory flow rate, sustained maximal inspiration, six-minute walk distance and rating of perceived exertion post six-minute walk test.In the group receiving on-call physicaltherapy, peak expiratory flow rate and six-minute walk test showed a significant difference (52.1 L/min and 98.16 m, respectively
, cardiovascular morbidity and mortality, end-stage renal disease, health-related quality of life, and adverse events (e.g. falls or injuries related to falls). An assessment of the potential benefit or harm of increased physical activity as antihypertensive therapy in patients with essential hypertension was therefore not possible with regard to these outcomes. Sufficient data were not available on the outcome “change in antihypertensive medication”. Data on a change in systolic or diastolic blood pressure (...) Benefit assessment of non-drug treatment strategies in patients with essential hypertension: increase of physical activity IQWiG Reports – Commission No. A05-21D Benefit assessment of non-drug treatment strategies in patients with essential hypertension: increase of physical activity 1 Executive Summary 1 Translation of the executive summary of the rapid report “Nutzenbewertung nichtmedikamentöser Behandlungsstrategien bei Patienten mit essenzieller Hypertonie: Steigerung der körperlichen
Comparison of the effectiveness of three manual physicaltherapy techniques in a subgroup of patients with low back pain who satisfy a clinical prediction rule: a randomized clinical trial Randomized clinical trial.The purpose of this randomized clinical trial was to examine the generalizability of 3 different manual therapy techniques in a patient population with low back pain that satisfy a clinical prediction rule (CPR).Recently a CPR that identifies patients with LBP who are likely (...) to respond rapidly and dramatically to thrust manipulation has been developed and validated. The generalizability of the CPR requires further investigation.A total of 112 patients were enrolled in the trial and provided demographic information and completed a number of self-report questionnaires including the Oswestry Disability Questionnaire (ODQ) and the Numerical Pain Rating Scale (NPRS) at baseline, 1-week, 4-weeks, and 6-months. Patients were randomly assigned to receive 1 of the 3 manual therapy
Manual physicaltherapy and exercise versus electrophysical agents and exercise in the management of plantar heel pain: a multicenter randomized clinical trial Randomized clinical trial.To compare the effectiveness of 2 different conservative management approaches in the treatment of plantar heel pain.There is insufficient evidence to establish the optimal physicaltherapy management strategies for patients with heel pain, and little evidence of long-term effects.Patients with a primary report (...) of plantar heel pain underwent a standard evaluation and completed a number of patient self-report questionnaires, including the Lower Extremity Functional Scale (LEFS), the Foot and Ankle Ability Measure (FAAM), and the Numeric Pain Rating Scale (NPRS). Patients were randomly assigned to be treated with either an electrophysical agents and exercise (EPAX) or a manual physicaltherapy and exercise (MTEX) approach. Outcomes of interest were captured at baseline and at 4-week and 6-month follow-ups
-inflammatory drugs, exercise, physicaltherapy, or epidural steroid injections. Owing to lack of sufficient data concerning the effectiveness of conservative treatment in LSS, we aimed to compare the effectiveness of epidural steroid injections and physicaltherapy program in a randomized controlled manner.A total of 29 patients diagnosed as LSS were randomized into 3 groups. Group 1 (n = 10) received an inpatient physicaltherapy program for 2 weeks, group 2 (n = 10) received epidural steroid injections (...) Effectiveness of physicaltherapy and epidural steroid injections in lumbar spinal stenosis Randomized single-blind controlled trial.We aimed to compare the effects of epidural steroid injections and physicaltherapy program on pain and function in patients with lumbar spinal stenosis (LSS).LSS is one of the most common degenerative spinal disorders among elderly population. Initial treatment of this disabling painful condition is usually conservative including analgesics, nonsteroidal anti
Effectiveness of manual physicaltherapy for painful shoulder conditions: a systematic review Effectiveness of manual physicaltherapy for painful shoulder conditions: a systematic review Effectiveness of manual physicaltherapy for painful shoulder conditions: a systematic review Camarinos J, Marinko L CRD summary The review evaluated the effectiveness of manual therapy for painful shoulder conditions and concluded that the results demonstrated improved mobility and a trend for improved pain (...) in English; search terms were reported. Five relevant journals and bibliographies of obtained studies were searched. Study selection Randomised controlled trials (RCTs) of manual physicaltherapy (from a physical therapist) given only to the glenohumeral joint for shoulder pain in adults (18 to 80 years) were eligible. Studies had to report at least one of the outcomes active or passive range of motion, a shoulder-specific functional outcome, quality of life and pain. Participants with cervical
Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Long-term complications of critical illness include intensive care unit (ICU)-acquired weakness and neuropsychiatric disease. Immobilisation secondary to sedation might potentiate these problems. We assessed the efficacy of combining daily interruption of sedation with physical and occupational therapy on functional outcomes in patients receiving mechanical ventilation (...) in intensive care.Sedated adults (>/=18 years of age) in the ICU who had been on mechanical ventilation for less than 72 h, were expected to continue for at least 24 h, and who met criteria for baseline functional independence were eligible for enrolment in this randomised controlled trial at two university hospitals. We randomly assigned 104 patients by computer-generated, permuted block randomisation to early exercise and mobilisation (physical and occupational therapy) during periods of daily
2009LancetControlled trial quality: predicted high
A randomized trial of behavioral physicaltherapy interventions for acute and sub-acute low back pain Psychological factors consistent with fear-avoidance models are associated with the development of chronic low back pain (LBP). As a result, graded activity (GA) and graded exposure (GX) have been suggested as behavioral treatment options. This clinical trial compared the effectiveness of treatment-based classification (TBC) physicaltherapy alone to TBC augmented with GA or GX for patients (...) with acute and sub-acute LBP. Our primary hypothesis was that GX would be most effective for those with elevated pain-related fear. In total, 108 patients enrolled in this clinical trial and were randomly assigned to receive TBC, GA, or GX. Outcomes were assessed by a blinded evaluator at 4 weeks and by mail at 6 months. The primary outcomes for this trial were disability and pain intensity, and the secondary outcomes were fear-avoidance beliefs, pain catastrophizing, and physical impairment. There were
The effectiveness of manual physicaltherapy and exercise for mechanical neck pain: a randomized clinical trial Randomized clinical trial.To assess the effectiveness of manual physicaltherapy and exercise (MTE) for mechanical neck pain with or without unilateral upper extremity (UE) symptoms, as compared to a minimal intervention (MIN) approach.Mounting evidence supports the use of manual therapy and exercise for mechanical neck pain, but no studies have directly assessed its effectiveness (...) for UE symptoms.A total of 94 patients referred to 3 physicaltherapy clinics with a primary complaint of mechanical neck pain, with or without unilateral UE symptoms, were randomized to receive MTE or a MIN approach of advice, motion exercise, and subtherapeutic ultrasound. Primary outcomes were the neck disability index, cervical and UE pain visual analog scales (VAS), and patient-perceived global rating of change assessed at 3-, 6-, and 52-weeks. Secondary measures included treatment success rates
Physicaltherapy treatment of back complaints on children and adolescents A randomized controlled trial was performed.To evaluate how 2 different treatment options affect perception of health, pain, and physical functioning over time among children and adolescents with low back pain (LBP).LBP among children and adolescents has increased. The literature shows that children with LBP also suffer from this condition as adults. Thus, it is important to prevent and treat LBP in children (...) and adolescents.Forty-five children and adolescents were consecutively randomized into one of 2 treatment groups and were studied for 12 weeks. Group 1 was given individualized physicaltherapy and exercise and a standardized self-training program and back education. Group 2 was given self-training program and back education but no individualized therapy. The children and adolescents were tested before and after the treatment period. Child Health Questionnaire Child Form 87, Roland & Morris Disability Questionnaire
Isolated lumbar extensor strengthening versus regular physicaltherapy in an army working population with nonacute low back pain: a randomized controlled trial To evaluate the effectiveness of specific lumbar extensor training compared with regular physicaltherapy (PT) in workers with nonspecific nonacute low back pain (LBP).A multicenter randomized controlled trial with 1-year follow-up.PT department in (military primary care) health centers.Predominantly male soldiers (N=129) with 4 weeks (...) or more of low back complaints who were referred by the health center's general practitioner for PT (mean age, 35.9+/-10.8 y; range, 20-56 y), of whom 127 randomized participants were included in the analyses. One patient withdrew because of adverse effects during treatment.Participants were assigned to 1 of 2 treatment programs: (1) a 10-week device-supported isolated lumbar extension training, twice a week, or (2) regular PT, mainly consisting of exercise therapy and aerobic activities.Functional
Effect of pediatric physicaltherapy on deformational plagiocephaly in children with positional preference: a randomized controlled trial To study the effect of pediatric physicaltherapy on positional preference and deformational plagiocephaly.Randomized controlled trial.Bernhoven Hospital, Veghel, the Netherlands.Of 380 infants referred to the examiners at age 7 weeks, 68 (17.9%) met criteria for positional preference, and 65 (17.1%) were enrolled and followed up at ages 6 and 12 (...) months.Infants with positional preference were randomly assigned to receive either physicaltherapy (n = 33) or usual care (n = 32).The primary outcome was severe deformational plagiocephaly assessed by plagiocephalometry. The secondary outcomes were positional preference, motor development, and cervical passive range of motion.Both groups were comparable at baseline. In the intervention group, the risk for severe deformational plagiocephaly was reduced by 46% at age 6 months (relative risk, 0.54; 95
Comparison of 3 physicaltherapy modalities for acute pain in lumbar disc herniation measured by clinical evaluation and magnetic resonance imaging This study measures and compares the outcome of traction, ultrasound, and low-power laser (LPL) therapies by using magnetic resonance imaging and clinical parameters in patients presenting with acute leg pain and low back pain caused by lumbar disc herniation (LDH).A total of 60 patients were enrolled in this study and randomly assigned into 1 of 3 (...) groups equally according to the therapies applied, either with traction, ultrasound, or LPL. Treatment consisted of 15 sessions over a period of 3 weeks. Magnetic resonance imaging examinations were done before and immediately after the treatment. Physical examination of the lumbar spine, severity of pain, functional disability by Roland Disability Questionnaire, and Modified Oswestry Disability Questionnaire were assessed at baseline, immediately after, and at 1 and 3 months after treatment.There
Physicaltherapy interventions for patients with osteoarthritis of the knee: an overview of systematic reviews. Patients with osteoarthritis of the knee are commonly treated by physical therapists. Practice should be informed by updated evidence from systematic reviews. The purpose of this article is to summarize the evidence from systematic reviews on the effectiveness of physicaltherapy for patients with knee osteoarthritis. Systematic reviews published between 2000 and 2007 were identified (...) by a comprehensive literature search. We graded the quality of evidence across reviews for each comparison and outcome. Twenty-three systematic reviews on physicaltherapy interventions for patients with knee osteoarthritis were included. There is high-quality evidence that exercise and weight reduction reduce pain and improve physical function in patients with osteoarthritis of the knee. There is moderate-quality evidence that acupuncture, transcutaneous electrical nerve stimulation, and low-level laser therapy
Status Subject indexing assigned by NLM MeSH Evidence-Based Medicine; Humans; PhysicalTherapy Modalities; Tennis Elbow /physiopathology /therapy; Treatment Outcome AccessionNumber 12008106106 Date bibliographic record published 03/02/2009 Date abstract record published 22/07/2009 Record Status This is a critical abstract of a systematic review that meets the criteria for inclusion on DARE. Each critical abstract contains a brief summary of the review methods, results and conclusions followed (...) Effectiveness of physicaltherapy treatments on lateral epicondylitis Effectiveness of physicaltherapy treatments on lateral epicondylitis Effectiveness of physicaltherapy treatments on lateral epicondylitis Kohia M, Brackle J, Byrd K, Jennings A, Murray W, Wilfong E CRD summary The authors concluded that none of the numerous physical treatments for lateral epicondylitis was shown to be the most effective. Further research was required. The authors’ conclusions appeared to reflect limited